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1831970011
PHAEDRA MOORE
BOSTON, MA
NPI
1831970011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
PHAEDRA MOORE
725 ALBANY ST
BOSTON, MA 02118-3549
Phone number: 617-414-2283
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Mailing Address
PHAEDRA MOORE
48 CRESCENT STREET FIRST FLOOR
WAKEFIELD, MA 01880
Phone number: 617-414-2283
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